Development of a non-invasive treatment system for urinary incontinence using a functional continuous magnetic stimulator (FCMS)

被引:24
作者
Ishikawa, N
Suda, S
Sasaki, T
Yamanishi, T
Hosaka, H
Yasuda, K
Ito, H
机构
[1] Nihon Kohden Corp, R&D Ctr, Shinjuku Ku, Tokyo 161, Japan
[2] Chiba Univ, Sch Med, Dept Urol, Chuo Ku, Chiba 260, Japan
关键词
urinary incontinence; stress incontinence; urge incontinence; urethral closure; therapy; continuous stimulation; magnetic stimulation; coil; eddy current; non-invasive; low power;
D O I
10.1007/BF02518872
中图分类号
TP39 [计算机的应用];
学科分类号
081203 [计算机应用技术]; 0835 [软件工程];
摘要
A system composed of a functional continuous magnetic stimulator (FCMS) and a saddle-type coil has been developed for non-invasive treatment of urinary incontinence, especially stress incontinence and urge incontinence. The FCMS conditions were as follows. 2kW maximum electrical power consumption, 800V maximum capacitor voltage, 720 mu s pulsewidth (180 mu s rise time), and 5-30Hz frequency. A frequency between 5 and 10Hz is used to treat urge incontinence and a frequency between 25Hz and 30Hz is used to treat stress incontinence, The coil (120mm long, 90mm wide and 50mm thick) fits the most suitable region for this treatment, the region from the anus to the perineum. The coil is cooled to maintain a coil temperature between 20 and 25 degrees C so that it can be used efficiently and safely. In experiments with anaesthetised dogs, it was confirmed that the urethral pressure increased when the circumference of the perineum received continuous magnetic stimulation of 720 mu s pulsewidth (180 mu s rise time), 10Hz frequency and about 520V capacitor voltage. This result suggests that magnetic stimulation can be effective as a urinary incontinence therapy.
引用
收藏
页码:704 / 710
页数:7
相关论文
共 26 条
[1]
BARKER AT, 1991, ELECTROEN CLIN NEURO, P227
[2]
NON-INVASIVE STIMULATION OF MOTOR PATHWAYS WITHIN THE BRAIN USING TIME-VARYING MAGNETIC-FIELDS [J].
BARKER, AT ;
FREESTON, IL ;
JALINOUS, R ;
JARRATT, JA .
ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY, 1985, 61 (03) :S245-S246
[3]
BARKER AT, 1991, EEG S, V43, P26
[4]
Comparison of various coils used for magnetic stimulation of peripheral motor nerves: Physiological considerations and consequences for diagnostic use [J].
Bischoff, C ;
Riescher, H ;
Machetanz, J ;
Meyer, BU ;
Conrad, B .
ELECTROMYOGRAPHY AND MOTOR CONTROL-ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY, 1995, 97 (06) :332-340
[5]
CADWELL J, 1991, ELECTROEN CLIN NEURO, P238
[6]
USE OF ELECTRICAL STIMULATION IN URINARY RETENTION AND INCONTINENCE [J].
CALDWELL, KP ;
FLACK, FC .
PROCEEDINGS OF THE ROYAL SOCIETY OF MEDICINE-LONDON, 1968, 61 (07) :703-&
[7]
MAXIMAL ELECTROSTIMULATION OF THE PELVIC FLOOR IN FEMALE IDIOPATHIC DETRUSOR INSTABILITY AND URGE INCONTINENCE [J].
ERIKSEN, BC ;
BERGMANN, S ;
EIKNES, SH .
NEUROUROLOGY AND URODYNAMICS, 1989, 8 (03) :219-230
[8]
Ishikawa N, 1997, P ANN INT IEEE EMBS, V19, P2096, DOI 10.1109/IEMBS.1997.758765
[9]
Eddy current density for non-invasive treatment system for urinary incontinence using functional continuous magnetic stimulator (FCMS) [J].
Ishikawa, N ;
Suda, S ;
Sasaki, T ;
Hosaka, H ;
Yamanishi, T ;
Yasuda, K ;
Ito, H .
PROCEEDINGS OF THE 2ND INTERNATIONAL CONFERENCE ON BIOELECTROMAGNETISM, 1998, :123-124
[10]
THE BOUNDARY EFFECT IN MAGNETIC STIMULATION - ANALYSIS AT THE PERIPHERAL [J].
MATHIS, J ;
SEEMANN, U ;
WEYH, T ;
JAKOB, C ;
STRUPPLER, A .
ELECTROMYOGRAPHY AND MOTOR CONTROL-ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY, 1995, 97 (05) :238-245